Nominees

If you purchased Ampio common stock between December 29, 2020, and August 2, 2022, for the beneficial interest of a person or organization other than yourself, the Court has directed that WITHIN TEN (10) CALENDAR DAYS OF YOUR RECEIPT OF THE POSTCARD NOTICE, YOU MUST EITHER: (a) request from the Claims Administrator sufficient copies of the Postcard Notice to forward to all such beneficial owners and WITHIN TEN (10) CALENDAR DAYS after receipt thereof forward them to all such beneficial owners; or (b) WITHIN TEN (10) CALENDAR DAYS of receipt of the Postcard Notice, provide a list of the names, addresses, and email addresses (to the extent known) to the Claims Administrator.

If you are providing a list of names, emails, and addresses to the Claims Administrator:

  1. Compile a list of names and addresses of the Beneficial Owners that purchased or acquired Ampio common stock between December 29, 2020, and August 2, 2022 (inclusive).

  2. Prepare the list in Microsoft Excel Format. A preformatted spreadsheet can be found by clicking here.

  3. Then you must do one of the following:

    1. Upload the spreadsheet here; or

    2. Email the spreadsheet to broker@AmpioSecuritiesSettlement.com.

If you are mailing the Postcard Notice to Beneficial Owners:

Request the needed number of copies of the Postcard Notice by filling out a mailing request form here. You must mail the Postcard Notice to the beneficial owners within ten (10) days of your receipt of the Postcard Notice.

If you have any questions, contact the Claims Administrator at broker@AmpioSecuritiesSettlement.com or by calling 1-833-602-5027.

If you are filing electronic claims:

A nominee may also submit a Proof of Claim Form on behalf of multiple clients who are beneficial owners by using the links below.

Click here to download the Proof of Claim Form.

Click here to download a properly formatted spreadsheet for submitting your transactions.

You may upload your master Proof of Claim Form and completed spreadsheet online here.